Author: Rick Mayes
Publisher: JHU Press
ISBN: 0801888875
Category : Medical
Languages : en
Pages : 274
Book Description
This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Medicare Prospective Payment and the Shaping of U.S. Health Care
Author: Rick Mayes
Publisher: JHU Press
ISBN: 0801888875
Category : Medical
Languages : en
Pages : 274
Book Description
This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Publisher: JHU Press
ISBN: 0801888875
Category : Medical
Languages : en
Pages : 274
Book Description
This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Status of the Medicare Transaction System
Author: United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Government Management, Information, and Technology
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 180
Book Description
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 180
Book Description
Medicare Transaction System
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 88
Book Description
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 88
Book Description
Medicare Transaction System
Author: Mark E. Heatwole
Publisher: DIANE Publishing
ISBN: 0788140426
Category :
Languages : en
Pages : 86
Book Description
Evaluates the Health Care Financing Admin's (HCFA) acquisition of its Medicare Transaction System (MTS). Specifically addresses the extent to which HCFA is effectively managing its interim Medicare processing environment, is using required practices to manage MTS as an investment, & is applying sound system development processes to reduce risk. Makes several recommendations that could help HCFA effectively meet its Medicare info. technology needs & decrease the risk of costly technological decisions & wasted Fed. expenditures that are often associated with large Fed. info. technology projects.
Publisher: DIANE Publishing
ISBN: 0788140426
Category :
Languages : en
Pages : 86
Book Description
Evaluates the Health Care Financing Admin's (HCFA) acquisition of its Medicare Transaction System (MTS). Specifically addresses the extent to which HCFA is effectively managing its interim Medicare processing environment, is using required practices to manage MTS as an investment, & is applying sound system development processes to reduce risk. Makes several recommendations that could help HCFA effectively meet its Medicare info. technology needs & decrease the risk of costly technological decisions & wasted Fed. expenditures that are often associated with large Fed. info. technology projects.
Medicare Transaction System
Author: Frank W. Reilly
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 16
Book Description
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 16
Book Description
Status of the Medicare Transaction System
Author: United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 140
Book Description
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 140
Book Description
Medicare Transaction System
Author: United States Accounting Office (GAO)
Publisher: Createspace Independent Publishing Platform
ISBN: 9781720394624
Category :
Languages : en
Pages : 28
Book Description
Medicare Transaction System: Strengthened Management and Sound Development Approach Critical to Success
Publisher: Createspace Independent Publishing Platform
ISBN: 9781720394624
Category :
Languages : en
Pages : 28
Book Description
Medicare Transaction System: Strengthened Management and Sound Development Approach Critical to Success
Concept of Operations for the Medicare Transaction System
Author: United States. Health Care Financing Administration. Bureau of Program Operations
Publisher:
ISBN:
Category : Information storage and retrieval systems
Languages : en
Pages : 23
Book Description
Publisher:
ISBN:
Category : Information storage and retrieval systems
Languages : en
Pages : 23
Book Description
Status of the Medicare Transaction System, the Health Care Financing Administration's Planned Data System to Control Fraud/Abuse
Author: United States Congress
Publisher: Forgotten Books
ISBN: 9781334768095
Category : Reference
Languages : en
Pages : 176
Book Description
Excerpt from Status of the Medicare Transaction System, the Health Care Financing Administration's Planned Data System to Control Fraud/Abuse: Joint Hearing Before the Subcommittee on Government Management, Information, and Technology, and the Subcommittee on Human Resources and Intergovernmental Relations of the Committee on Government Reform and Oversight; November 16, 1995 Today there are nine standard systems, a Common Working File that contains beneficiary data at nine separate sites, more than 70 intermediaries and carriers, and more than 56 hardware sites It is expensive and difficult to make a single change in Medicare policy or procedures because all these systems need to be modified. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Publisher: Forgotten Books
ISBN: 9781334768095
Category : Reference
Languages : en
Pages : 176
Book Description
Excerpt from Status of the Medicare Transaction System, the Health Care Financing Administration's Planned Data System to Control Fraud/Abuse: Joint Hearing Before the Subcommittee on Government Management, Information, and Technology, and the Subcommittee on Human Resources and Intergovernmental Relations of the Committee on Government Reform and Oversight; November 16, 1995 Today there are nine standard systems, a Common Working File that contains beneficiary data at nine separate sites, more than 70 intermediaries and carriers, and more than 56 hardware sites It is expensive and difficult to make a single change in Medicare policy or procedures because all these systems need to be modified. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Medicare
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 36
Book Description
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 36
Book Description